| NPI | 1184887895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME117256) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101259313) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2022-05-12 |